Leading article
Mental health must be "centre stage" in child welfare
| The first 150 words of the full text of this article appear below. |
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The size of the problem |
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The alarmingly high incidence of behaviour and emotional disorders in children in the United Kingdom was established 30 years ago.1 A minimum annual incidence of 5-10% for children living in relatively stable semirural communities and 10-20% for those in inner cities was found. Recently, an overall annual national incidence of 10% has been reported.2 Authoritative reviews suggest that there has, if anything, been a rise in the incidence of at least some of these disorders over the past 40 years.3 Illustrative case reports have shown that, among mainly undiagnosed, young, untreated children identified with psychiatric disorders in the community, even those with less serious levels of disturbance are suffering major impairment of social functioning.4
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The community response |
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Until about five years ago, the official response to these
striking epidemiological findings was disappointing. From 1970 to 1995, there was a slow increase in the number of consultant posts in child
and adolescent psychiatry and in the number
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